Provider Demographics
NPI:1649245291
Name:EGER, ARNOLD R (OD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:R
Last Name:EGER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2576 BRODHEAD RD
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-4380
Mailing Address - Country:US
Mailing Address - Phone:724-378-8585
Mailing Address - Fax:724-375-1574
Practice Address - Street 1:2576 BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-4380
Practice Address - Country:US
Practice Address - Phone:724-378-8585
Practice Address - Fax:724-375-1574
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001209152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017204360001Medicaid
PA286727OtherHIGHMARK
PA286727OtherHIGHMARK
PA0017204360001Medicaid